Organization
MEDFORD MAIN STREET DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIEN DO DMD (OWNER)
(917) 455-6237
Entity
Organization
Contact information
Practice address
101 MAIN ST STE 207, MEDFORD, MA 02155-4530
(917) 455-6237
Mailing address
101 MAIN ST STE 207, MEDFORD, MA 02155-4530
(917) 455-6237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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